The nurse is caring for a client who delivered a newborn 2 days ago and states that they are experiencing crying spells, anxiety, and sadness that started the day after delivery. Which is the most therapeutic action by the nurse?

Refer the client to a psychiatrist since it is important to get treatment for postpartum depression quickly.

Inform the client that these symptoms will go away and to seek support from friends and family.

Discuss with the client the potential for involuntary admission to prevent harm to self and newborn.

Prepare for the administration of an IV neuroactive steroid over a 60-hour period of time.

Answer and Explanation

The Correct Answer is A

Choice A reason: Referring the client to a psychiatrist is important for a quick evaluation and treatment of postpartum depression, which can be serious if left untreated.

Choice B reason: Informing the client that symptoms will go away may not be therapeutic if the client is experiencing postpartum depression, which requires professional treatment.

Choice C reason: Discussing involuntary admission may be necessary if there is an immediate risk of harm, but it is not the first therapeutic action to take.

Choice D reason: Preparing for the administration of an IV neuroactive steroid could be part of a treatment plan, but it would typically follow a psychiatric evaluation and diagnosis.

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Correct Answer is A

Explanation

Choice A reason: Risperidone is an antipsychotic medication commonly used to treat positive symptoms of schizophrenia, such as hallucinations or delusions.

Choice B reason: Haloperidol can be used to treat positive symptoms, but it is not as commonly used as risperidone due to its side effect profile.

Choice C reason: Clonazepam is typically used for anxiety or seizure disorders and is not the primary medication for treating schizophrenia symptoms.

Choice D reason: Clozapine is often reserved for treatment-resistant schizophrenia and is used to treat both positive and negative symptoms, but it is not the first-line treatment due to its potential side effects.

A. "We have separated our finances so that I will not go broke." B. "I take my kids with me to Al-Anon meetings every week." C. "Last time the client got arrested, I just let the client sit in jail." D. "I have to call in sick for the client when the client is too hungover to go to work."

Correct Answer is D

Explanation

Choice A reason: Separating finances is a practical step but does not address the underlying issues of alcoholism as a family illness.

Choice B reason: Attending Al-Anon meetings is a positive step towards understanding and coping with the effects of a family member's alcoholism.

Choice C reason: Allowing the client to face the consequences of their actions can be part of setting boundaries, which is important in dealing with alcoholism.

Choice D reason: Calling in sick for the client enables the behavior and prevents the client from facing the natural consequences of their alcoholism, indicating a need for further education on the illness.

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The nurse is caring for a client who delivered a newborn 2 days ago and states that they are experiencing crying spells, anxiety, and sadness that started the day after delivery. Which is the most therapeutic action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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